Department of Orthopedics, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, China.
Medicine (Baltimore). 2023 Dec 1;102(48):e35884. doi: 10.1097/MD.0000000000035884.
The purpose of this study was to evaluate the clinical efficacy of internal fixation with locking compression plates (LCP) in the treatment of patients with extremity fractures and the effect on the recovery of limb function. A total of 488 patients with extremity fractures admitted to our hospital from June 2019 to December 2022 were retrospectively analyzed and divided into open reduction and internal fixation (ORIF) group (n = 236) and internal fixation with LCP group (n = 252) according to the surgical procedure. Outcome indicators included intraoperative bleeding, operative time, length of hospital stay, pain duration, quality of life, healing time of the fracture, postoperative complications, and restoration of limb function as per the X-ray examination results and Johner-Wruhs criteria. Self-rating Depression Scale and Self-rating Anxiety Scale were used to evaluate the changes of patients' negative emotions before and after treatment. LCP group was associated with significantly less intraoperative bleeding and shorter operative time, length of hospital stays, and pain duration compared with ORIF group (P < .05). Compared with ORIF group, LCP group provided more rapid fracture healing in tibial fractures, ulnar fractures, radial fractures, and external ankle fractures (P < .05). Compared with the ORIF group, patients in the LCP group showed better quality of life in terms of physical, psychological and social functions after surgery (P < .05). The incidence of postoperative complications in the LCP group was significantly lower than that in the ORIF group (19.92% vs 7.14%, P < .001). The Self-rating Depression Scale and Self-rating Anxiety Scale scores of the LCP group were lower than those of the ORIF group (P < .05). The recovery of limb function was significantly better in the LCP group than in the ORIF group (97.22% vs 85.17%, P < .001). The overall satisfaction rate of treatment in the LCP group was higher than that in the ORIF group (92.06% vs 81.90%, P < .001). Internal fixation with LCP in patients with extremity fractures can effectively promote the recovery of limb function, reduce the incidence of complications and improve the quality of life of patients.
本研究旨在评估锁定加压钢板（LCP）内固定治疗四肢骨折患者的临床疗效及其对肢体功能恢复的影响。回顾性分析 2019 年 6 月至 2022 年 12 月我院收治的 488 例四肢骨折患者，根据手术方式分为切开复位内固定（ORIF）组（n=236）和 LCP 内固定组（n=252）。观察两组术中出血量、手术时间、住院时间、疼痛持续时间、生活质量、骨折愈合时间、术后并发症、X 线检查和 Johner-Wruhs 评分评估的肢体功能恢复情况。采用抑郁自评量表（SDS）和焦虑自评量表（SAS）评估患者治疗前后负面情绪变化。与 ORIF 组比较，LCP 组术中出血量少，手术时间、住院时间、疼痛持续时间短（P<0.05）。与 ORIF 组比较，LCP 组胫骨骨折、尺骨骨折、桡骨骨折和外踝骨折的骨折愈合更快（P<0.05）。与 ORIF 组比较，LCP 组术后患者生理、心理和社会功能的生活质量更好（P<0.05）。与 ORIF 组比较，LCP 组术后并发症发生率较低（19.92% vs 7.14%，P<0.001）。与 ORIF 组比较，LCP 组患者的 SDS 和 SAS 评分较低（P<0.05）。与 ORIF 组比较，LCP 组患者的肢体功能恢复更好（97.22% vs 85.17%，P<0.001）。LCP 组患者的治疗总满意度高于 ORIF 组（92.06% vs 81.90%，P<0.001）。四肢骨折患者采用 LCP 内固定可有效促进肢体功能恢复，降低并发症发生率，提高患者生活质量。
